Gestão da atenção básica do SUS: um olhar sobre São Borja, Itaqui e Uruguaiana

Abstract

This dissertation deals with the issue of primary care in the Sistema Único de Saúde (SUS). It was defined with the claim of knowing the conditions of the management of primary care of SUS in the western border region of Rio Grande do Sul, in the municipalities of Itaqui, São Borja and Uruguaiana in the year of 2022. The study sought to answer the problematizing question of the research: What are the challenges of care management of the Sistema Único de Saúde (SUS) in a border area, taking into account when talking about health and public management. It aimed to know the challenges of public health management in three municipalities on the West Frontier of Rio Grande do Sul: São Borja, Itaqui and Uruguaiana, with the purpose of contributing to the improvement of management processes within the scope of the border territory. For its construction it was linked to the research line of Institutional Configurations and Social Dynamics in a Frontier Area of the Graduate Program in Public Policy - Professional Master's Degree Federal University of Pampa (PPGPP), São Borja campus. The research was motivated by the professional path of the master's student, her reality as a public servant of the municipal staff, the everyday issues of professional work and the impacts of management as service coordination. It is also justified due to its academic relevance, since from the research one can subsidize the observation of the movement within the scope of the local management of SUS and elaborate new insights through the proposed analyses. It was built using a configuration of a res gence of information and data that contributed in the knowledge of the primary care management dynamics of the Sistema Único de Saúde - SUS in the municipalities of the western border of the state of Rio Grande do Sul, in an attempt to improve management processes in this reality and contribute to management qualification. The study carried out using bibliographical and documental research of exploratory and qualitative type, with a field study using instruments and techniques related to the object and objective of study. The collection of data from managers - Secretaries of the health policies of each municipality -, the interview technique was applied based on the script instrument of semi-structured interview, and together with policy workers and primary care managers, a form via Google Forms was used. Of the three municipalities surveyed, the sample was composed by a total of 3 municipal health policy secretaries, 4 primary care level health managers, 2 from São Borja and 2 from Uruguaiana. The data point revealed to the conformation of SUS primary care within the scope of the surveyed municipalities, presenting aspects of limits and potentialities to the management of the public health policy in the municipalities, in which the main notes reveal the demand for composition of reference teams, expansion of SUS funding, and training for teams and managers as a way to qualify the primary health care experiences in the municipalities. It is also possible to reflect that the research has a potential diagnosis of the reality in which public policy agents participated – street-level bureaucrats. Finally, in addition to this dissertation, we present, as a result of the research, the simplified report as a technical product that subsidizes management within the municipalities surveyed – the public policy diagnosis is a unique learning opportunity and enrichment of professional knowledge.